Dominique L. Gist
Mental Illness Community Based Residential Treatment Facility
- Gender: Female
- Sole propriator: Yes
About Dominique L. Gist
She is located at 8674 S 165th Ave, , in Goodyear, AZ 85338. Appointment can be made via the phone number (313) 434-6821.
Dominique L. Gist - Address, Phone & Website
8674 S 165th Ave, , Goodyear, AZ 85338
(313) 434-6821
Medical Specialties & Taxonomy codes
| Primary | Specialty | Taxonomy Code |
|---|---|---|
| Yes | Psychiatric Residential Treatment Facility | 323P00000X |
| No | Mental Illness Community Based Residential Treatment Facility | 320800000X |
| No | Community/Behavioral Health Agency | 251S00000X |
| No | Substance Abuse Rehabilitation Facility | 324500000X |
| No | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 332800000X |
Licenses
| State | License Number |
|---|